| Christopher Kolasa Md Pa | |
|
6 Auer Ct Suite C East Brunswick NJ 08816-5828 | |
| (732) 254-4200 | |
| (732) 254-4256 |
| Full Name | Christopher Kolasa Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Auer Ct, East Brunswick, New Jersey |
| Authorized Official Name and Position | Christopher Kolasa (PRESIDENT) |
| Authorized Official Contact | 7322544200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Kolasa Md Pa 6 Auer Ct Suite C East Brunswick NJ 08816-5828 Ph: (732) 254-4200 | Christopher Kolasa Md Pa 6 Auer Ct Suite C East Brunswick NJ 08816-5828 Ph: (732) 254-4200 |
| NPI Number | 1306148226 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Medicare PECOS PAC ID | 0345427381 |
|---|---|
| Medicare Enrollment ID | O20110608000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306148226 | NPI | - | NPPES |
| 6548601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05727300 (New Jersey) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA05727300 (New Jersey) | Primary |
| Provider Name | Christopher Kolasa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073680062 PECOS PAC ID: 4587841101 Enrollment ID: I20110608000599 |
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